Does Botox effects on tear trough?

Question

Hello, I've been Receiving Botox on crows feet & frown lines for less than a year. I'm 28 and doing it for preventative measures. Recently I've noticed some progressive hollowing of my tear trough area. Could Botox could be the cause of this?

Robert M. Tornambe, MD · Answer

First off, I am not a fan of Botox as a "preventative treatment" for wrinkles, as I have not seen any scientific data supporting this notion. Botox treatment around your eyes for crows feet, could theoretically, make tear troughs more prominent. Botox is not recommended to treat tear troughs. Try stopping your preventive treatment and see what happens, and seek a second opinion from a board certified plastic surgeon or dermatologist

Andrew P. Trussler, MD · Answer

Botox is great for the Crow's Feet area. The muscle targeted with crow's feet injection is the lateral orbicularis oculi muscle which does indirectly contribute to tear troughs in the inner eye aspect. Relaxation of this muscle may reveal more shadowing in this area contributing to a perceived deeper tear trough. This may be a stretch, and tear troughs in general are worsened with the aging cheek, though 28 is not too early for familial peri-orbital  aging. For tear troughs try a volumetric filler, active skin care and a light chemical peel. These are all methods of treatment which are in-office which can effectively treat this area. If you are getting Botox, work on the other areas too.

Brian M. Harmych, MD, FACS · Answer

Botox is not likely to improve the appearance of the tear trough area. In fact, it's possible that Botox injection to this area could worsen the appearance of the tear trough and may lead to other complications. Filler injections, such as Restylane, would be a better options. Your best bet is to consult with a board-certified specialist (Facial plastic surgeon, plastic surgeon, or dermatologist) who is highly experienced with facial filler injections.Good luck!Dr. Harmych

Jerome Edelstein, MD · Answer

Botox works by temporarily paralyzing your facial muscles so your dynamic wrinkles won't form in your skin. Loss of volume in your tear troughs is likely just a result of agin. Filler is the best solution to fill in volume loss if it's not a major loss of volume.

Peter J. Capizzi, MD · Answer

After thousands of injections of Botox, it is important to remember that Botox is a medication and the dosage can be adjusted depending on the amount of wrinkles.  A little amount needs a small amount of Botox. Botox is most often used for the periorbital lines and glabellar area.

Marc S. Zimbler, MD, FACS · Answer

I have never heard or read about botox affecting the tear trough so I think whatever is going on is independent of the botox. Botox works by inhibiting neuro-muscular transmissions and most people dont have and significnat muscle tissue in the tear trough so anatomically this would not make sense

Manjula Jegasothy, MD · Answer

The hollowing of the under eye area is an age- related change which occurs as a result of loosening of the ligaments holding the globe of the eye in place, causing the globe to move slightly backward and creating a hollow/empty space below the eye on the bone. Botox Cosmetic® has no effect on this process, however the dermal fillers Restylane® and Belotero® work very well in filling this space and eliminating these hollows. Even better, their results can last up to one year or more!

Stephen Weber MD, FACS · Answer

Properly injected Botox will not affect the tear trough area in any way. If you've noticed worsening tear troughs this is likely due to aging and volume loss. This can be pronounced at an even a young age in people who are thin. I can only assume that you do not have much body fat. The best remedies for deep tear troughs at the present time are dermal fillers such as Belotero or fat transfer. Best.

Steven F. Weiner, MD · Answer

The best way to improve the tear troughs is with dermal filler.  My favorites are Restylane and Sculptra.  I use cannulas for this area because it is safer and there is less downtime.

Mats Hagstrom, MD (license on probation) · Answer

Botox works quite well for preventative measures of frown lines.To prevent crow's feet from forming, Botox is not a bad strategy. Plus, the effects are quite nice.The best prevention for crow's feet is avoiding the sun and cigarette smoking.When injecting crow's feet, if the injections are given towards the medial side (towards the nose) or inside from the corner of the eye, some weakness of the muscle can cause the lower eyelid fat pads to protrude.This may look like a deepening of the tear trough.Consider having your injection pattern changed a little bit for your next treatment to see if this helps.Best of luck,Mats Hagstrom, M.D.

Does Botox effects on tear trough?

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